Individual
KATHRYN R. WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 911, IRVINE, CA 92618-3711
(949) 450-2755
Mailing address
2513 LITTLETON PL, COSTA MESA, CA 92626-6340
(714) 545-0123
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
366850
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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